Hopewell Nurse Registry Region 1, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30211613 Issued in FL

Legal business name

HOPEWELL NURSE REGISTRY REGION 1, LLC

Practice address

4476 Legendary Dr
Suite 204
Destin, FL 32541-5375

Phone

(850) 837-1870

Fax

(850) 837-1868

NPI assigned

Sep 19, 2013

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

HOPEWELL HOME HEALTH CARE, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Blake Hayward

Title

Owner/President

Phone

(850) 386-5552

Specialties & licenses 1

Addresses

Part of

Life-Timesolutions

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1720414998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 KILLARNEY WAY STE H",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093400",
            "telephone_number": "850-386-5552",
            "fax_number": "850-386-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 LEGENDARY DR",
            "address_2": "SUITE 204",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415375",
            "telephone_number": "850-837-1870",
            "fax_number": "850-837-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL NURSE REGISTRY REGION 1, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPEWELL HOME HEALTH CARE, LLC",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-386-5552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Holland
• Anika Holley-Linder
• John Hollimon, M.D.
• Melissa Ann Holsinger, DPT
• Hope Medical Clinic, Inc
• Catherine Hudson, L.M.T.
• Jordan Huettl, LCSW
• Julia Humbarger
• Tami Elizabeth Huston, OT
• Kara Madonna Hyman, APRN

• Home Health Agency in Destin, FL
• Providers in Destin, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.